Newton-Howes Giles, Beverley Georgia, Ellis Pete M, Gordon Sarah, Levack William
University of Otago Wellington, Wellington, New Zealand.
Acad Psychiatry. 2018 Jun;42(3):382-385. doi: 10.1007/s40596-017-0823-0. Epub 2017 Oct 10.
Traditional teaching in psychiatry does little to address recovery concepts. The aim of this study was to evaluate the incorporation of a recovery-focused teaching program for medical students in psychiatry.
Recovery, as understood by medical students who had participated in a recovery-focused teaching program, was assessed by thematic analysis of recovery-focused assessment reflections.
Six major themes emerged from the recovery reflections from final year medical students are as follows: (1) recovery as a person-centered approach, (2) the need for social integration, (3) non-diagnostic framing of mental illness, (4) tensions between the medical model and personal recovery, (5) a patient's willingness to engage with mental health services, and (6) the development of a positive sense of self.
A recovery teaching program was associated with students expressing knowledge of recovery principles and positive attitudes towards people with experience of mental illness. Psychiatric placements for medical students may benefit from a recovery focus.
精神病学的传统教学在涉及康复概念方面做得很少。本研究的目的是评估为医学生在精神病学领域纳入以康复为重点的教学计划的情况。
通过对以康复为重点的评估反思进行主题分析,评估参与了以康复为重点教学计划的医学生所理解的康复情况。
从最后一年医学生的康复反思中出现了六个主要主题,如下:(1)康复是以个人为中心的方法,(2)社会融合的必要性,(3)精神疾病的非诊断性框架,(4)医学模式与个人康复之间的紧张关系,(5)患者参与精神卫生服务的意愿,以及(6)积极自我意识的发展。
一个康复教学计划与学生表达康复原则知识以及对有精神疾病经历者的积极态度相关。医学生的精神病学实习可能会受益于以康复为重点的教学。